Nursing Elites

1. How do the automated data processing systems in the medical C4I headquarters aid in various aspects?

• A. Maintaining patient accountability
• B. Tracking patient movement
• C. Managing health service logistics systems
• D. All of the above

Correct answer: D

Rationale: The automated data processing systems in the medical C4I headquarters play a crucial role in maintaining patient accountability by tracking patient movement and aiding in the management of health service logistics systems. Therefore, the correct answer is D. Option A is incorrect because the systems do more than just maintaining patient accountability. Option B is incorrect as it focuses solely on tracking patient movement, missing the broader scope. Option C is also incorrect as it only addresses the management of health service logistics systems and overlooks the other functionalities provided by the systems.

2. Short-bowel syndrome usually occurs when:

• A. The longitudinal muscles of the intestine contract
• B. More than 50% of the small intestine is surgically removed
• C. More than 50% of the large intestine is surgically removed
• D. Transit time is decreased due to infection or drugs

Correct answer: B

Rationale: Short-bowel syndrome usually occurs when more than 50% of the small intestine is surgically removed. This condition results in malabsorption of nutrients and fluids due to the reduced length of the small intestine. Choice A is incorrect because the contraction of longitudinal muscles does not lead to short-bowel syndrome. Choice C is incorrect as short-bowel syndrome is primarily related to the small intestine, not the large intestine. Choice D is incorrect since decreased transit time due to infection or drugs is not a direct cause of short-bowel syndrome.

3. A patient taking anticoagulants should be cautious about consuming which type of food?

• A. High-protein foods
• B. High-fiber foods
• C. High-vitamin K foods
• D. High-calcium foods

Correct answer: C

Rationale: The correct answer is C: High-vitamin K foods. Foods high in vitamin K can interfere with the effectiveness of anticoagulants. Vitamin K plays a crucial role in blood clotting, so consuming high amounts of it can counteract the anticoagulant effects. Choices A, B, and D are incorrect as they do not directly interfere with the action of anticoagulants.

4. Which referral would be most appropriate for the client diagnosed with thoracic outlet syndrome?

• A. The physical therapist
• B. The thoracic surgeon
• C. The occupational therapist
• D. The social worker

Correct answer: C

Rationale: The correct answer is C, the occupational therapist. An occupational therapist specializes in helping individuals with activities of daily living, ergonomic assessments, and adaptive techniques. In the case of thoracic outlet syndrome, an occupational therapist can provide exercises and adaptations to improve the client's function and alleviate symptoms. Choosing the physical therapist (choice A) may also be beneficial for rehabilitation exercises, but occupational therapists focus more on functional activities. Referring to a thoracic surgeon (choice B) would be more appropriate for surgical interventions rather than initial management. Referring to a social worker (choice D) may not directly address the physical symptoms and functional limitations associated with thoracic outlet syndrome.

5. Who is the first individual in the combat health support chain to make medically substantiated decisions based on military occupational specialty-specific medical training?

• A. Physician
• B. Physician assistant
• C. Combat medic
• D. Combat lifesaver

Correct answer: B

Rationale: The correct answer is 'Physician assistant.' Physician assistants are trained to make medically substantiated decisions based on their specific medical training within the combat health support chain. Choice A, 'Physician,' is incorrect as they may be involved but are not typically the first in line for such decisions as physician assistants. Choice C, 'Combat medic,' is incorrect as they usually provide immediate medical care but may not be the first to make medically substantiated decisions. Choice D, 'Combat lifesaver,' is incorrect as they are trained to provide basic life-saving interventions but may not have the specialized medical training to make complex medical decisions.

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